SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

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• XML
• JSON
• TTL

: Example Kenya Observation - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "ExampleKenyaObservation",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-observation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleKenyaObservation</b></p><a name=\"ExampleKenyaObservation\"> </a><a name=\"hcExampleKenyaObservation\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hie-observation.html\">HIE Observation</a></p></div><p><b>identifier</b>: PLAC/OBS-123456789\u00a0(use:\u00a0official,\u00a0)</p><p><b>basedOn</b>: <a href=\"ServiceRequest/servreq-001\">ServiceRequest/servreq-001</a></p><p><b>status</b>: Registered</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:\">100002-5</span></p><p><b>subject</b>: <a href=\"Patient/pat-001\">Patient/pat-001</a></p><p><b>encounter</b>: <a href=\"Encounter/enc-001\">Encounter/enc-001</a></p><p><b>effective</b>: 2025-02-14 10:30:00+0300</p><p><b>issued</b>: 2025-02-14 10:32:00+0300</p><p><b>performer</b>: <code>HIEPractitioner/prac-001</code></p><p><b>value</b>: 120 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><p><b>hasMember</b>: <a href=\"Observation/diastolic-example\">Observation/diastolic-example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 80 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>dataAbsentReason</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason not-performed}\">Not Performed</span></p></blockquote></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "code" : "PLAC"
          }
        ]
      },
      "system" : "http://khie.health.go.ke/identifiers/observations",
      "value" : "OBS-123456789"
    }
  ],
  "basedOn" : [
    {
      "reference" : "ServiceRequest/servreq-001"
    }
  ],
  "status" : "registered",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "code" : "100002-5"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/pat-001"
  },
  "encounter" : {
    "reference" : "Encounter/enc-001"
  },
  "effectiveDateTime" : "2025-02-14T10:30:00+03:00",
  "issued" : "2025-02-14T10:32:00+03:00",
  "performer" : [
    {
      "reference" : "HIEPractitioner/prac-001"
    }
  ],
  "valueQuantity" : {
    "value" : 120,
    "unit" : "mmHg",
    "system" : "http://unitsofmeasure.org",
    "code" : "mm[Hg]"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }
      ]
    }
  ],
  "hasMember" : [
    {
      "reference" : "Observation/diastolic-example"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8462-4",
            "display" : "Diastolic blood pressure"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 80,
        "unit" : "mmHg",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm[Hg]"
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "N",
              "display" : "Normal"
            }
          ]
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8480-6",
            "display" : "Systolic blood pressure"
          }
        ]
      },
      "dataAbsentReason" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
            "code" : "not-performed",
            "display" : "Not Performed"
          }
        ]
      }
    }
  ]
}